TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER b: HOSPITALS AND AMBULATORY CARE FACILITIES
PART 245 HOME HEALTH, HOME SERVICES, AND HOME NURSING AGENCY CODE
SECTION 245.240 QUALITY IMPROVEMENT PROGRAM


 

Section 245.240  Quality Improvement Program

 

a)         Each agency shall develop a quality improvement program.  The quality improvement program shall include written policies and shall evaluate the agency's total program at least once a year.  The evaluation for home health agencies, home services agencies, and home nursing agencies shall, at a minimum, include a clinical or client record review, as appropriate.  This evaluation shall assess the extent to which the agency's program is appropriate, adequate, effective and efficient.  Results of the evaluation shall be reported to and acted upon by those responsible for the operation of the agency and shall be maintained separately as administrative records.

 

b)         Record Review.  At least quarterly, the agency shall review a sample of both active and closed clinical or client records to assure that established policies are followed in providing services (direct services, as well as those under contractual arrangement).  If applicable, this review shall include, but not be limited to:

 

1)         Whether the care plan was directly related to the stated diagnosis and plan of care;

 

2)         Whether the frequency of visits was consistent with the plan of care;

 

3)         Whether the services could have been provided in a shorter span of time or with fewer visits; and

 

4)         Whether the service plan was followed by the home services worker or nursing staff.

 

c)         None of the information, interviews, reports, statements, memoranda and recommendations produced during or resulting from the agency's quality improvement program may be admissible as evidence nor discoverable in any action of any kind in any court, as provided in Article VIII, Part 21 of the Code of Civil Procedure (Medical Studies).

 

d)         Placement agencies shall assess the extent to which the agency's program is appropriate, adequate, effective and efficient, including, but not limited to, the placement of workers who have prior training and who are on the Health Care Worker Registry.  Results of the evaluation shall be reported to those responsible for the operation of the agency and shall be maintained in a separate file as administrative records.

 

(Source:  Amended at 39 Ill. Reg. 16406, effective December 10, 2015)